| NPI | 1679907463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A. GREEN Owner 847-852-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011403) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |